Trustees Of Tufts University

Specialty details in registry · Palmer, MA

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At a glance

175 State Ave, Palmer, MA 01069-1843

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

175 State Ave
Palmer, MA 01069-1843
Professional details: NPI, taxonomy & registry record
NPI1760608608
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QD0000X
Enumeration date
Apr 18, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QD0000X · Primary

License reported: 20040 MA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

175 State Ave
Palmer, MA 01069-1843
Phone
(413) 283-3411
Fax
(413) 283-3674
Mailing address
175 STATE AVENUE

PALMER, MA 01069
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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